| NPI | 1891956587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N9458) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N9458) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2015-10-01 |