| NPI | 1376781492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD449309) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 254504) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2013-07-08 |