| NPI | 1518132711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S8181) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 257175) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 257175) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD22686) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2025-01-20 |