| NPI | 1265770085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 284847) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 138397) |
| 207R00000X Internal Medicine (Licence: NY 284847) | |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2024-06-04 |