| NPI | 1245209907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0059683) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G65478) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2021-04-15 |