| NPI | 1912915034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX E5808) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.142309) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01076607A) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2024-03-20 |