| NPI | 1477870178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.132296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a111602) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A111602) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2021-01-07 |