| NPI | 1235578220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S7124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301109306) |
| 207R00000X Internal Medicine (Licence: MO 2013020047) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301109306) | |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2025-10-29 |