| NPI | 1972669919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A52331) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX H3201) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2026-04-22 |