| NPI | 1306005376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 60236754) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA 434925) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2019-05-14 |