| NPI | 1588913867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S9327) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 36352) |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2026-08-12 |