NPI | 1700990272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 171775) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 171775) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2012-07-18 |