| NPI | 1750612065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-12642) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D95214) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 251199) | |
| 207R00000X Internal Medicine (Licence: AR E-12642) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 251199) | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2022-08-08 |