| NPI | 1093970576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60404231) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M2530) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 267556) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2013-09-09 |