| NPI | 1447201454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD437577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 39759) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-05 |