| NPI | 1093970097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD23397) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101259283) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.096503) | |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2023-05-10 |