| NPI | 1881758985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 7990998-1205) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 54303-20) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2016-12-09 |