| NPI | 1427212224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S4060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39553) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-39553) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2022-02-09 |