NPI | 1609802065 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2006036878) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006036878) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2016-11-09 |