| NPI | 1104858430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD430896) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA09993100) |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: NJ 25MA09993100) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-08-03 |