| NPI | 1568493245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 64595) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 232739) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-01-25 |