| NPI | 1043367105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35-091569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 12805) |
| 207R00000X Internal Medicine (Licence: OH 35-091569) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-09-18 |