| NPI | 1386805018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q5018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008014684) |
| 207R00000X Internal Medicine (Licence: CA A116426) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2015-08-18 |