| NPI | 1427246628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME129999) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 221994) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2022-02-09 |