| NPI | 1992191571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 292339) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA12307600) |
| 208M00000X Hospitalist (Licence: NY 292339) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2024-10-09 |