| NPI | 1275755290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 46321) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 200400831) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-05-12 |