| NPI | 1114219342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.139846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.139846) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 199871) | |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2021-12-24 |