| NPI | 1710088471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35099322) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AR E3533) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35099322) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-11-03 |