| NPI | 1376745356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.143467) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 63671) |
| 207R00000X Internal Medicine (Licence: CA A94092) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2011-0752) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 66417) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY C1843) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2024-03-25 |