NPI | 1932264918 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL AL12052) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL AL12052) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2007-07-08 |