| NPI | 1447216692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TN 62769) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: OH 35084242) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: LA 308742) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-06-29 |