| NPI | 1730292319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.087650) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01080352A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 56771) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2025-02-28 |