| NPI | 1922458249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 316584) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 83773) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2026-04-07 |