| NPI | 1598262099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0069933) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0069933) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2024-01187) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-07-29 |