| NPI | 1245674191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 13181453-1205) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S2824) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2023-08-21 |