NPI | 1578902540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX V8059) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A138036) |
Enumeration Date | 2013-06-22 |
Last Update Date | 2025-06-25 |