| NPI | 1821324179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.138682) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 107683) |
| 208M00000X Hospitalist (Licence: MN 58640) | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2020-06-24 |