| NPI | 1497536155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.152873) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX 47933) |
| 207RI0008X Internal Medicine, Hepatology (Licence: TX 47933) | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2025-03-24 |