| NPI | 1407389844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 103068) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 322391) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2025-02-27 |