| NPI | 1376622183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 141475) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 141475) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2019-10-11 |