| NPI | 1750813051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 321965) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 69563) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-10-26 |