| NPI | 1730505264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD458404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458404) |
| 208M00000X Hospitalist (Licence: PA MD458404) | |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2023-09-26 |