| NPI | 1356768303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX r4691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R4691) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2024-08-09 |