NPI | 1083814982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.151041) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301090114) |
207RG0100X Internal Medicine, Gastroenterology (Licence: NY P89579) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301090114) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: NY 312429) | |
Enumeration Date | 2007-07-19 |
Last Update Date | 2024-08-20 |