| NPI | 1144783945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11941500) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ P22-00708) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-03-28 |