| NPI | 1144298613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA06265800) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 043843) |
| 207R00000X Internal Medicine (Licence: CT 043843) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2021-07-23 |