NPI | 1982671251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME85118) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME85118) |
Enumeration Date | 2006-03-04 |
Last Update Date | 2007-09-03 |