NPI | 1457523151 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01063576A) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.124233) |
Enumeration Date | 2008-04-02 |
Last Update Date | 2024-04-18 |