| NPI | 1013186535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 235309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 235309) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 294860) | |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2022-08-03 |