| NPI | 1285740639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA05804900) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA58049) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NJ 25MA05804900) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-12-13 |