| NPI | 1548424211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R7427) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.054237) |
| 207R00000X Internal Medicine (Licence: WI 56006) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 074089) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2019-08-13 |