| NPI | 1194031054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD464683) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: KY 46972) |
| 207R00000X Internal Medicine (Licence: IN 01077069A) | |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2024-11-24 |