| NPI | 1538148283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0066559) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35076586) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01047211A) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2023-10-04 |