| NPI | 1558371559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N7478) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A96488) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-08-23 |