| NPI | 1174721302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 260824) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A98409) |
| 207R00000X Internal Medicine (Licence: NY 260824) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A98409) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-12-16 |