| NPI | 1750540449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 258461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 130512) |
| 207R00000X Internal Medicine (Licence: NY 258461) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2023-05-11 |