| NPI | 1881656783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 26504) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CO DR.0070408) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2023-10-11 |