| NPI | 1083637722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD015983E) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ MA02840000) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-05-22 |