| NPI | 1083034870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R4018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10048761) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2020-09-02 |