| NPI | 1184967598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0064470) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY TP984) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2024-04-18 |