| NPI | 1730421355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 283371) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CT 62279) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2023-04-28 |