| NPI | 1225291685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 235961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 235961) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA082601) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2014-06-24 |