| NPI | 1174557821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35123776) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 260425) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 260425) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-11-06 |