NPI | 1639589781 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60742811) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S5134) |
Enumeration Date | 2014-04-29 |
Last Update Date | 2024-11-27 |