NPI | 1598703787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A72850) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A72820) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2007-07-13 |