| NPI | 1386667947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 254895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002011) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 84143) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-04-15 |