| NPI | 1538393939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CO DR.0057249) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CO 57249) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: DC MD039490) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2025-04-08 |