| NPI | 1093862666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD438697) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD036181) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2021-05-26 |