NPI | 1821022708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35065615) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35 065615) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2010-03-16 |