| NPI | 1427313220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 65582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.020753) |
| Enumeration Date | 2012-07-08 |
| Last Update Date | 2019-06-21 |