| NPI | 1780998245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A119977) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A119977) |
| 207R00000X Internal Medicine (Licence: PA MD453764) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD453764) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2020-07-01 |