| NPI | 1386680064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 233671) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 233671) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2014-11-04 |