NPI | 1629051834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 29973) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 29973) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2007-10-27 |