| NPI | 1093997819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL MD30982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08267900) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2011-05-27 |