| NPI | 1316995509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35-046677) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: OH 35046677) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-05-17 |