| NPI | 1548204944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D58108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D58108) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD488367C) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2025-06-26 |