| NPI | 1558549428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MA 238039) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: OH 35122295) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: MO 2012007487) | |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2024-03-29 |