NPI | 1790740546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G28907) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 628907) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2010-06-22 |