| NPI | 1245422419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P9120) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 3321) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2023-10-10 |