NPI | 1275533036 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB03626200) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OS004534L) |
Enumeration Date | 2005-07-22 |
Last Update Date | 2022-03-25 |