| 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 |