| NPI | 1144295726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD024027E) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 161377-1) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA md-024027-E) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2021-03-04 |