| NPI | 1043317605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M1632) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M1632) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2021-06-07 |