| NPI | 1013178508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0062270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS015013) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OS015013) | |
| 208D00000X General Practice (Licence: PA OS015013) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2019-08-05 |