NPI | 1710156476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A102671) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A102671) |
Enumeration Date | 2008-02-27 |
Last Update Date | 2013-07-12 |