| NPI | 1134539729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 6473) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R2198) |
| 207R00000X Internal Medicine (Licence: TX BP10050269) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2021-07-06 |