| NPI | 1073909925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11341500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD462564) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2022-07-27 |