| NPI | 1730289398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 244751) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A77075) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2012-04-13 |