NPI | 1780734236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101234704) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D60162) |
207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD034468) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2007-07-08 |