| NPI | 1134577166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA10807800) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD482525) |
| 207R00000X Internal Medicine (Licence: NY 299357) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2024-11-07 |