NPI | 1760669139 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 244468) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 244468) |
Enumeration Date | 2008-01-28 |
Last Update Date | 2012-08-28 |