NPI | 1538235726 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD151168) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G42622) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2014-09-17 |