| NPI | 1770561425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 4826413-1205) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD23505) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2025-04-16 |