| NPI | 1376879940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q7795) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q7795) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO CDR.0004520) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2013044178) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35C.002525) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2026-08-26 |