| NPI | 1477521623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD037788L) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 46227) |
| Enumeration Date | 2006-03-12 |
| Last Update Date | 2022-10-17 |