| NPI | 1053570432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD486642) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 33440) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2025-01-23 |