| NPI | 1154439636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: OH 35-032714) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: OH 35-03-2714B) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2021-02-03 |