| NPI | 1619911237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA OS013253) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS013253) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-06 |