| NPI | 1659338036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 122185) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 38634) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2021-11-05 |