| NPI | 1255425930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 51182) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M0407) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 45101) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0045101) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-09-10 |