| NPI | 1194901553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA07859000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432399) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2024-11-18 |