NPI | 1992758973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A417150) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A417150) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2007-07-20 |