| NPI | 1407877707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35039759) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.039753) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35039753) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-12-21 |