| NPI | 1356582746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A124769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 256367-1) |
| 207R00000X Internal Medicine (Licence: CA A124769) | |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2016-02-08 |