NPI | 1790703742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G63119) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G63119) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2010-03-25 |