| NPI | 1881733871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N8054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N8054) |
| 207R00000X Internal Medicine (Licence: NM 2004-0378) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2025-09-19 |