| NPI | 1538361241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M7618) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 233594) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA07904200) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2014-06-18 |