| NPI | 1346207818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: OH 35.075545) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME 111093) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: OH 35075545) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2023-08-02 |