| NPI | 1689018822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01082586A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.022612) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.140358) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2023-11-27 |