| NPI | 1457332066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 21847) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0045885) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2023050205) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2025-01-13 |