| NPI | 1942410063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 239572) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MA 239572) |
| 207R00000X Internal Medicine (Licence: NY 272333) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 239572) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 272333) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: NY 272333) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-11-15 |