| NPI | 1598949521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A133674) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 250090) |
| 207R00000X Internal Medicine (Licence: NY 245746) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2021-12-17 |