| NPI | 1194985291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 275018) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 275018) |
| 207R00000X Internal Medicine (Licence: NY 275018) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2014-05-14 |