| NPI | 1689057937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 310485) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 310485) |
| 207R00000X Internal Medicine (Licence: MI 4301107615) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2021-07-22 |