| NPI | 1265097000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T1845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T1845) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2025-06-20 |