| NPI | 1255487831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR0049605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 49605) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-07-21 |