| NPI | 1821070376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2018-02088) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 217231-1) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2018-10-09 |