| 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 |