| NPI | 1386138741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0069555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0007440) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2024-05-24 |