| NPI | 1447343843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0053480) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301049366) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301049366) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-03-06 |