| NPI | 1194725515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD444826) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101234774) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-07-11 |