| NPI | 1164717211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX P4767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10041332) |
| 207R00000X Internal Medicine (Licence: TX P4767) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2020-09-17 |