| NPI | 1477646743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35040058) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35-04-0058-N) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2014-07-21 |