| NPI | 1447295407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01068075A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.037399) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 17367) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-08-25 |