| NPI | 1124040316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08153600) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 227241) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-09-27 |