| NPI | 1912403114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: UT 13739460-1205) |
| Additional Taxonomies | 207RT0003X Internal Medicine Transplant Hepatology (Licence: UT 13739460-1205) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-05-30 |