| NPI | 1437611530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX BP10079492) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11899045-1205) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2022-06-03 |