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 |