| NPI | 1558521831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD434930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD434930) |
| 208M00000X Hospitalist (Licence: AZ 45426) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2020-06-19 |