| 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 |