| NPI | 1265675516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MT 78293) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266593) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: NY 266593) | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2024-04-08 |