NPI | 1427015809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 21274) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX L9924) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2014-08-12 |