| NPI | 1336307305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08720600) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 238902) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2014-12-02 |