NPI | 1497743165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX F1131) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 04775R) |
Enumeration Date | 2005-10-07 |
Last Update Date | 2015-02-09 |