| NPI | 1255781217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11856000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11856000) |
| 207R00000X Internal Medicine (Licence: MI 4301109731) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036166094) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C1-0027053) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 89779) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-05-17 |