| NPI | 1750544425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MT207120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD455644) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2016-03-24 |