| NPI | 1841317526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.135794) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R1377) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301087864) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-11-03 |