NPI | 1558630715 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 322121) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35124454) |
Enumeration Date | 2011-12-17 |
Last Update Date | 2023-07-14 |