NPI | 1538393939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD039490) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 57249) |
Enumeration Date | 2009-05-13 |
Last Update Date | 2016-07-14 |