| NPI | 1841469061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101256346) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CO DR.0072438) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2007-01655) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2024-09-06 |