| NPI | 1497014260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A153638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10044545) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: IA MD42320) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2021-12-17 |