| NPI | 1184677957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 196712) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 196712-1) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME76574) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2026-03-25 |