NPI | 1669835377 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 34013632) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58.007488) |
207R00000X Internal Medicine (Licence: OH 34.013632) | |
208M00000X Hospitalist (Licence: OH 34.013632) | |
Enumeration Date | 2016-03-30 |
Last Update Date | 2024-10-08 |