NPI | 1477513950 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX K9309) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K9309) |
Enumeration Date | 2006-03-27 |
Last Update Date | 2022-05-24 |