| NPI | 1780034140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD466950) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT211117) |
| 207R00000X Internal Medicine (Licence: PA MD466950) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2024-02-14 |