| 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 | 2023-07-26 |