NPI | 1700833498 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60027255) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 222765) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2012-11-16 |