NPI | 1922028067 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 195950) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 195950) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2025-03-11 |