| NPI | 1891743076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35-037250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-037250) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-12-26 |