| NPI | 1548588460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A125131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD447834) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2021-12-22 |