NPI | 1720084353 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.057660) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 24839) |
Enumeration Date | 2005-06-28 |
Last Update Date | 2024-06-17 |