| NPI | 1306968417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 265559) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A102749) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-03-18 |