| NPI | 1205002276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME160003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443261) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD443261) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2024-11-14 |