| NPI | 1003807520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO CDR.0002251) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX E9984) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2023-01-11 |