| NPI | 1437195427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 244910) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 0017972) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-05-16 |