NPI | 1538273073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G29074) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G29074) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2015-11-10 |