| NPI | 1326234600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 201501965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD12730) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 004009) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2020-07-31 |