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 | 2022-02-24 |