| NPI | 1093750770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M9653) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 36184) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 36184) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2014-03-26 |