| NPI | 1427033588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD456410) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD456410) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 27307) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-06-28 |