| NPI | 1386023059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S3904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S3904) |
| 207R00000X Internal Medicine (Licence: TX BP10052895) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2023-05-09 |