| NPI | 1144635178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0102206645) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.012221) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2024-03-09 |