NPI | 1306844980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35082799) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD486496) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2025-03-03 |