| NPI | 1831382670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD436399) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08270800) |
| 207R00000X Internal Medicine (Licence: NY 236681) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2016-05-24 |