NPI | 1881861540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A101729) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 23265) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2013-06-18 |