| NPI | 1134264740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA10194700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10194700) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101231633) | |
| 174400000X Specialist (Licence: NY 261952) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 261952) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2024-12-06 |