| NPI | 1275633737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 134072) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 177994-1) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-02-23 |