| NPI | 1871601757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 245308) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 245308-1) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-03-24 |