NPI | 1306848965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0074596) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2024-02434) |
207RG0100X Internal Medicine, Gastroenterology (Licence: GA 99812) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME85567) | |
Enumeration Date | 2005-08-12 |
Last Update Date | 2025-09-30 |