| NPI | 1073560181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101009901) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO CDR.0003047) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-08-22 |