| NPI | 1235484031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OS016401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS016401) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2018-01-29 |