| NPI | 1306890165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA03997000) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 134313-1) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-12-15 |