| NPI | 1063551687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA32098) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NJ MA32098) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-06-21 |