| NPI | 1184967598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.127594) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036174722) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY TP984) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0064470) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2025-09-23 |