NPI | 1871798421 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MD PENDING) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: DE C1-0011248) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2015-07-22 |