| NPI | 1295744233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD436402) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 49061) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2009-07-27 |