| NPI | 1366792863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX 46451) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX 45649) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX 43968) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2019-03-22 |