| NPI | 1437473477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME140963) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 272942) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 272942) | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2019-08-16 |