NPI | 1689611626 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 2043) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 211797) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2014-05-30 |