| NPI | 1558858183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 19162) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10063747) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-06-11 |