| NPI | 1720442411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 05548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.013832) |
| 207R00000X Internal Medicine (Licence: OH 58.007541) | |
| 208M00000X Hospitalist (Licence: OH 34.013832) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2023-07-14 |