| NPI | 1427043942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD19652) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VT 0420010255) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 291445) | |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2024-01-23 |