| NPI | 1396914800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL 103667) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 239542) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2012-07-13 |