| NPI | 1700092004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 8283082-1205) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2008-00975) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-11-27 |