| NPI | 1851573570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 13835) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 233430) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2015-12-31 |