| NPI | 1437130085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 1944251) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 194425) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2021-05-24 |