| NPI | 1124439427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA11503400) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD473447) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2023-06-30 |