| NPI | 1427099654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35053451M) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35053451m) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-10-23 |