| NPI | 1154583953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 244176) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI MD13299) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MT-188176) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2024-08-30 |