| NPI | 1023043718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S6500) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 253828) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-06-13 |