| NPI | 1538323399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q5388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q5388) |
| 207R00000X Internal Medicine (Licence: CA A110628) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A110628) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX Q5388) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A110628) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2022-07-21 |