| NPI | 1073231676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY NA) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125079962) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2025-06-09 |