| NPI | 1003260217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 117383) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R4849) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2025-04-02 |