NPI | 1881733871 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N8054) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2004-0378) |
207R00000X Internal Medicine (Licence: TX N8054) | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2023-12-12 |