| NPI | 1144712688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 329414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 275881) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2025-01-29 |