| NPI | 1063618908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08998700) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 241241) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2023-01-04 |