| NPI | 1295224905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T8505) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A194589) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2024-06-21 |