| NPI | 1053371815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB04078500) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 04078500) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MB04078500) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-10-20 |