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 |