NPI | 1336160498 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35 091016) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD057500L) |
207RI0008X Internal Medicine, Hepatology (Licence: OH 35 091016) | |
Enumeration Date | 2006-07-22 |
Last Update Date | 2021-09-20 |