| NPI | 1427492701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX S0268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10046657) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2019-07-15 |