| NPI | 1164413332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 204810) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 161029) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2024-11-26 |