| NPI | 1851484323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A103387) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 002485-1) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-04-19 |