| NPI | 1003278037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA12643600) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A190138) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2026-03-27 |