| NPI | 1801087978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD432229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432229) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 262338) | |
| 208M00000X Hospitalist (Licence: PA MD432229) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2012-08-20 |