| NPI | 1922494715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 309216-01) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 309216) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2021-08-11 |