| NPI | 1346683323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND 24368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 247265) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-50847) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S2225) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 247265) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2026-07-28 |