| NPI | 1710949466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD037794E) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD37794E) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2022-08-11 |