NPI | 1437110699 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX F4869) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY TP494) |
207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2017-02202) | |
Enumeration Date | 2006-03-29 |
Last Update Date | 2018-05-24 |