| NPI | 1447347075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 142956-1) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 025787) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 42477) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2021-12-08 |