| NPI | 1073555116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: UT 10675008-1205) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: ME 15900) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-02-07 |