| NPI | 1265450811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 223659) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0062524) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R2585) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-11-13 |