| NPI | 1427034818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 067436) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 254843) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2016-12-22 |