| NPI | 1225476070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD466763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT204478) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2019-04-24 |