| 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 |