| NPI | 1164465688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.144478) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME47970) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-067677) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 70105) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2025-11-19 |