| NPI | 1023541513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX S8108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S8108) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-08-09 |