| NPI | 1134568306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MD D96225) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD458201) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT203510) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-07-18 |