| NPI | 1023088317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD047020L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD047020L) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2018-04-09 |