| NPI | 1972573582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD418831) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2011-03-07 |