| NPI | 1295791226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35-081060) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35-081060) |
| 207R00000X Internal Medicine (Licence: OH 35-081060) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-12-02 |