| NPI | 1326316647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CO DR.0057835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A118800) |
| 207R00000X Internal Medicine (Licence: CO DR.0057835) | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2021-05-18 |