| NPI | 1457795429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S4086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10047114) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2024-08-01 |