| NPI | 1467466771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.080517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.080517) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO R9F93) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2024-11-19 |