NPI | 1669664314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 045783) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245703) |
207R00000X Internal Medicine (Licence: CT 045783) | |
Enumeration Date | 2007-08-16 |
Last Update Date | 2013-08-06 |