| NPI | 1275597809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 10439358-1205) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD023624E) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-03-17 |