| NPI | 1538449459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P8992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX PB10040903) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2019-08-21 |