NPI | 1841495058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 60788) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017285) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2013-07-26 |