NPI | 1801865142 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M6265) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A85418) |
Enumeration Date | 2006-03-17 |
Last Update Date | 2017-02-27 |