| NPI | 1891748687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0065026) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX L8257) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-12-11 |