NPI | 1417045311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N5738) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 152373) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2025-03-28 |