| NPI | 1992146302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.153329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 50176) |
| 207RI0008X Internal Medicine, Hepatology (Licence: KY 50176) | |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2025-04-28 |