| NPI | 1508326182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A186518) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.144289) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2023-08-22 |