| NPI | 1053588913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35124003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 141738) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2020-12-28 |