| NPI | 1659311074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 39319-020) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 235837) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-07-06 |