| NPI | 1134575699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX BP20069063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10056503) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2022-06-20 |