| NPI | 1588800981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 26159) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD444706) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD444706) | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2024-01-22 |