| NPI | 1588300206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX BP20095494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10079532) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2025-06-10 |