| NPI | 1992919559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 249390) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 71524) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2025-10-21 |