| NPI | 1275539405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174400000X Specialist (Licence: TX G4770) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX G4770) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2026-03-02 |