| NPI | 1235347485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD451993) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08919100) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08919100) | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2021-04-15 |