| NPI | 1124581145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 34.015990) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 34.015990) |
| 207R00000X Internal Medicine (Licence: OH 34.015990) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-07-14 |