| NPI | 1285084806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.015828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO2544) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.015828) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2022-08-04 |