| NPI | 1316138142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D82295) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2013-01951) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD432187) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2022-06-03 |