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 |