| NPI | 1386707933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 243457) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 243457) |
| 207R00000X Internal Medicine (Licence: PA MD 429579) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2017-03-08 |