| NPI | 1437128527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX L2537) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: TX L2537) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-10-07 |