| NPI | 1790753317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD044179E) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: PA MD044179E) |
| 207R00000X Internal Medicine (Licence: PA MD044179E) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-10-04 |