| NPI | 1013445097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S5746) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S5746) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2024-05-20 |