| NPI | 1225090269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P3766) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E3232) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-09-23 |