| NPI | 1477817849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX R2884) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-252126) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2019-05-14 |