| NPI | 1609966183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35098983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-3909) |
| 208M00000X Hospitalist (Licence: AR E-3909) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-06-22 |