| NPI | 1437348943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 6359060-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6359060-1205) |
| 207R00000X Internal Medicine (Licence: UT 6359060-8905) | |
| Enumeration Date | 2007-10-21 |
| Last Update Date | 2016-11-23 |