| NPI | 1306907415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 261855) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 231621) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2016-03-11 |