| NPI | 1134514227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101278813) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 295395) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2023-06-16 |