| NPI | 1447210687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 182917) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 034421) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2014-03-08 |