| NPI | 1184831729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01069412A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.010802) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-11-27 |