| NPI | 1720318199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD-19048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266590) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2019-12-05 |