| NPI | 1386965580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD475570) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SD 9705) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2021-09-08 |