| NPI | 1598085334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD460641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD14198) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MD P30920) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2021-05-26 |