| NPI | 1700813276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD478424) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 17896) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-12-04 |