| NPI | 1114162534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 270395-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08616400) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2023-03-07 |