| NPI | 1538396411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 12429692-1205) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A120210) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2025-05-12 |