NPI | 1316182744 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 302217) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX AR3354292) |
207RG0100X Internal Medicine, Gastroenterology (Licence: TN MD0000045443) | |
Enumeration Date | 2008-12-15 |
Last Update Date | 2016-11-14 |