| NPI | 1598952145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 5210819-1205) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 5210819-8905) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2015-06-09 |