| NPI | 1588872873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME156148) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 257168) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-07-28 |