| NPI | 1962664722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.126265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301099214) |
| 207R00000X Internal Medicine (Licence: IL 125054779) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301099214) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-11-06 |