| NPI | 1033406731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX V8438) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 50520) |
| 207R00000X Internal Medicine (Licence: TX V8438) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2025-06-07 |