| NPI | 1427015809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 21274) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX L9924) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2014-08-12 |