| NPI | 1922365386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 298977-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 17139) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2019-10-15 |