| NPI | 1144596826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CO DR.0067491) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: OH 35.133888) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2024-11-25 |