| NPI | 1295934719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35091007) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01064669A) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2023-11-21 |