| NPI | 1912347360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.127481) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.127481) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2025-12-04 |