| NPI | 1316388556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB10130600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 6450) |
| 207R00000X Internal Medicine (Licence: VA 0102208235) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 6450) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0102208235) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2025-10-16 |