| NPI | 1114971397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA06747400) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD487535) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME166059) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2025-03-04 |