NPI | 1891943098 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q0366) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 270067) |
Enumeration Date | 2008-09-03 |
Last Update Date | 2018-03-21 |