| NPI | 1043270358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 9903300-1205) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX F1541) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-12-15 |