| NPI | 1326008509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C1-0002909) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD-030636-E) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-05-09 |