| NPI | 1306852942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 132921) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 132921) |
| 207RI0008X Internal Medicine, Hepatology (Licence: NY 132921) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2026-03-09 |