| NPI | 1194014266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R8354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A122483) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A122483) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2019-01-31 |