| NPI | 1346455599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P1314) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P1314) |
| 207R00000X Internal Medicine (Licence: MI 4301085993) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2011006593) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2021-11-17 |