| NPI | 1841618204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: OH 35.142254) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD471691) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2021-07-20 |