| NPI | 1417045311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N5738) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 152373) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2025-03-28 |