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 |