| NPI | 1174542450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 040438) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 226534-1) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA10992500) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-10-11 |