| NPI | 1518300359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S8043) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01078060A) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2022-04-08 |