| NPI | 1588806608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 278649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT GME Permit) |
| 207R00000X Internal Medicine (Licence: KY R2077) | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2024-02-12 |