NPI | 1053977157 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX U6441) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U6441) |
Enumeration Date | 2019-05-14 |
Last Update Date | 2025-07-07 |