| NPI | 1326242900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX P2736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P2736) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-06-11 |