| NPI | 1306282793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OT015008) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS017229) |
| 207R00000X Internal Medicine (Licence: PA OT015008) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2021-05-26 |