NPI | 1225246689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.084226) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101236169) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2020-08-25 |