| NPI | 1003438250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX W4563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX W4563) |
| 207R00000X Internal Medicine (Licence: IN 02007158A) | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2026-07-10 |