| NPI | 1487655346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 79718) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 30937) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX J5017) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2023-11-27 |