| NPI | 1568604502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T0458) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 291153) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 52518) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2019010501) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2023-01-04 |