| NPI | 1023343779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD451614) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD451614) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2022-05-11 |