NPI | 1598884041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 42842) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.132779) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2022-03-15 |