| NPI | 1255360244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND 15535) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 286056) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD450495) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-12-28 |