| NPI | 1891935250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.123582) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 250908) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2022-02-07 |