| NPI | 1942549738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD472588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD472588) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 89490) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2023-08-17 |