| NPI | 1306158134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 93506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 272910) |
| 207R00000X Internal Medicine (Licence: IA MD-44517) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-44517) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2022-11-14 |