| NPI | 1841509874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.125405) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI EMC0008140) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2025-10-29 |