| NPI | 1134482219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R7984) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73233) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2024-02-20 |