| NPI | 1932486545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 278820) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: NY 278820) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: NY 278820) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 278820) | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2019-12-09 |