NPI | 1528282050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: GA 059554) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 27100) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2013-02-20 |