| NPI | 1437383833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 279039) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 180034) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2015-11-18 |