| NPI | 1588072938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.130810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064813) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2020-05-29 |