| NPI | 1508032749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0054483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 142190) |
| 207R00000X Internal Medicine (Licence: CO DR.0054483) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2024-08-29 |