| NPI | 1417215161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 63813) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 283990) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2021-06-24 |