| NPI | 1598765430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 223335) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 128910) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2023-08-30 |