| NPI | 1124211925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08646600) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD441444) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 45002) | |
| 208600000X Surgery (Licence: PA MD441444) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2017-12-06 |