| NPI | 1265655153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CO DR.0052202) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-33302) |
| 207R00000X Internal Medicine (Licence: MO 2005018189) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: TN MD48449) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-05-29 |