| NPI | 1932466125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A135164) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R9463) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2023-01-11 |