| NPI | 1598810327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX V8673) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101242444) |
| 208600000X Surgery (Licence: MD 390200000X) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101242444) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2026-01-21 |