| NPI | 1659831360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 322389) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T6677) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-09-17 |