NPI | 1033373493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME133113) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA07916100) |
Enumeration Date | 2008-07-15 |
Last Update Date | 2017-10-17 |