| NPI | 1730193962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 147707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD037425E) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 52594) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-11-30 |