| NPI | 1336132489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA029690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD012651E) |
| 207R00000X Internal Medicine (Licence: NJ 25MA029690) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD012651E) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-10-26 |