| NPI | 1437254075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60625350) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q3152) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G51139) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-12-08 |