NPI | 1942232558 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036964937) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036064037) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2016-09-26 |