NPI | 1790726446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35-092368) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101037937) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2017-07-10 |