| NPI | 1396710893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD068303L) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 237737-1) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2021-02-26 |