| NPI | 1174503148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA068067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 75118) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 75118) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2025-11-04 |