| NPI | 1245464379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA11231800) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD453998) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2022-01-13 |