NPI | 1417944125 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 34008404) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34. 008404) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2023-11-06 |