| NPI | 1659598399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 286360) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: MA 255764) |
| 207R00000X Internal Medicine (Licence: NY 286360) | |
| 207R00000X Internal Medicine (Licence: MA 255764) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 255764) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: NY 286360) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2021-11-18 |