NPI | 1700949872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C42107) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C42107) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2007-07-08 |