| NPI | 1093708539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2023-1358) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX J2784) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2023-11-14 |