| NPI | 1568434702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0056114) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A66415) |
| 207RI0008X Internal Medicine, Hepatology (Licence: CA A66415) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M6881) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2016-03-28 |