| NPI | 1548278526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 294288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 157566) |
| 207R00000X Internal Medicine (Licence: NY 294288) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 157566) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2018-06-14 |