| NPI | 1437116811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: LA 338542) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD053148L) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: MS 27262) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2023-12-07 |