| NPI | 1063698249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 068361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244615) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2022-01-07 |