| NPI | 1275768749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35097229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301100288) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2023-11-03 |