| NPI | 1689815656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD483120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD UMPS1) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2023-10-26 |