| NPI | 1235158031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 2059761) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 2059761) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-03-06 |