| NPI | 1548231087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 203161) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD26465) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2022-10-20 |