NPI | 1154760155 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S7625) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A150020) |
Enumeration Date | 2013-06-23 |
Last Update Date | 2023-03-07 |