| NPI | 1063845998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD205352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R4785) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2022-08-10 |