| NPI | 1447352257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 185077-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 185077-1) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 185077) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-04-14 |