NPI | 1770775025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 244590) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244590) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2013-08-20 |