NPI | 1992781629 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 21391) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 21391) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2014-03-21 |