| NPI | 1144883638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX BP20081730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10067110) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2022-06-28 |