| NPI | 1053371203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08764000) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL MD28099) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2010-06-16 |