NPI | 1811973860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G45827) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G45827) |
Enumeration Date | 2005-12-21 |
Last Update Date | 2013-01-22 |