| NPI | 1932333093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 283724-1) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q3826) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2022-07-21 |