NPI | 1477598969 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX F7442) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX F7442) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2016-04-26 |