| NPI | 1548396211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 16620) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N1517) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-06-01 |