| NPI | 1588616205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX H2225) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101010847) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2026-03-30 |