| NPI | 1134381742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35-097207) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.097207) |
| 208M00000X Hospitalist (Licence: ME 017837) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2018-03-17 |