NPI | 1225569544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.141715) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 64348) |
208M00000X Hospitalist (Licence: OH 35.141715) | |
207R00000X Internal Medicine (Licence: OH 35.141715) | |
Enumeration Date | 2017-03-27 |
Last Update Date | 2025-04-27 |