| NPI | 1053370353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 68825-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 222139-1) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 222139-1) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-145175) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-03-28 |