| NPI | 1053316653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA049958) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NJ MA016100) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2009-09-01 |