| NPI | 1447262134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD007787E) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD007787E) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2014-07-23 |