NPI | 1780618660 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35057325) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35 057325) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2010-03-08 |