| NPI | 1972524197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P7375) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A65232) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2007-0010) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2016-02-17 |