| NPI | 1437110699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX F4869) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: KY TP494) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2017-02202) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-05-24 |