| NPI | 1356378442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 224102) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD22281) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C131578) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-04-30 |