NPI | 1548204944 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MD D58108) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D58108) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2013-02-11 |