| NPI | 1730542853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0102205149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102205149) |
| 207R00000X Internal Medicine (Licence: CO DR.0074065) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 14188851-1204) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0074065) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2025-04-30 |