| NPI | 1609919588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD066015l) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD066015L) |
| 207R00000X Internal Medicine (Licence: NY 299613) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 299613) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2019-08-14 |