| NPI | 1205279247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 311211) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 62570) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2021-07-08 |