| NPI | 1144781998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX W4176) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: KY 56855) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2026-08-07 |