| NPI | 1235344938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA07174800) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 165262) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |