| NPI | 1215980461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA G131467) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 116563) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-07-22 |