| NPI | 1457678401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P4997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10038073) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2022-02-11 |