| NPI | 1700052008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME177255) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P6743) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2026-01-12 |