| NPI | 1275809071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA10297500) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: RI LP03376) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2018-06-28 |