| NPI | 1922596279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.147601) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA SP-0236) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA SP-0236) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA FE60837356) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2023-04-10 |