NPI | 1629678859 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.149424) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 30690) |
Enumeration Date | 2020-10-27 |
Last Update Date | 2024-01-24 |