| NPI | 1033143797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2015-0273) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 305163) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2025-08-20 |