| NPI | 1306810478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD26758) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 236488) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2024-02-20 |