NPI | 1649365990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: ND 4973) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 4973) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2008-06-25 |