| NPI | 1184700254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX U5168) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U5168) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2007-00694) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-05-03 |