| NPI | 1093787806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA07904500) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND 21969) |
| 174400000X Specialist (Licence: NJ ma079045) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2025-01-12 |