| NPI | 1225398704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 296750) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD463601) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101269644) | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2022-08-26 |