NPI | 1083034870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R4018) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10048761) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2020-09-02 |