NPI | 1093970097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.096503) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101259283) |
207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD23397) | |
Enumeration Date | 2008-07-19 |
Last Update Date | 2024-07-30 |