| NPI | 1609001403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: OH 35096984) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: OH 35096984) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2023-11-03 |