| NPI | 1831485101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P8615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 261620-1) |
| 207R00000X Internal Medicine (Licence: TX P8615) | |
| 207R00000X Internal Medicine (Licence: TX BP10042277) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2022-02-09 |