| NPI | 1225268071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 78134) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034507) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2018-08-15 |