| NPI | 1447391131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 8583933-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 25052) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2013-06-25 |