| NPI | 1316916778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 256797) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 44222) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2017-11-22 |