| NPI | 1083695944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 243548) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 038782) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2014-10-24 |