| NPI | 1396704086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD048046L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD048046L) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2024-06-04 |