| NPI | 1396989869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 279172) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY AU4158033 1104) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2024-02-12 |