| NPI | 1154490282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD480004) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 13646-R) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2024-05-28 |