| NPI | 1346796091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI MD19125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57027521) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2023-10-03 |