| NPI | 1548622392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 326928) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 70346) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-02-06 |