| NPI | 1588600662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 340576) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX K6994) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2024-07-02 |