| NPI | 1992785430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 107559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-091529) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101055128) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.091529) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2024-04-18 |