| NPI | 1639380934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.093415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57011605) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2024-04-18 |