NPI | 1861618449 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A81190) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A81190) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2015-01-27 |