| NPI | 1366469918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 192864) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NY 192864) |
| 174400000X Specialist (Licence: NY 192864) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-05-14 |