NPI | 1699714931 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0060405) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 130867) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2023-11-13 |