| NPI | 1467488460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 197119) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 197119) |
| 207R00000X Internal Medicine (Licence: NY 197119) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2009-10-28 |