| NPI | 1780114504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R8552) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10061509) |
| 207R00000X Internal Medicine (Licence: TX R8552) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2023-04-13 |