NPI | 1023043718 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S6500) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 253828) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2025-06-13 |