| 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 |