NPI | 1285825463 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60329062) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0028946) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2020-05-21 |