| NPI | 1235236571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 55922) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M4083) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 127341) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-09-19 |