| NPI | 1841238094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 34.006116) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 34-00-6116) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2022-01-25 |