| NPI | 1366557886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N4693) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 4301081685) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-09-08 |