NPI | 1992733992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX V1978) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 24761) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2025-03-24 |