| NPI | 1275802852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD477971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 53664) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2022-07-26 |