| NPI | 1013144641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q4546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034943) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2022-01-25 |