| NPI | 1861416596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 34.013404) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 03484) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-11-18 |