NPI | 1336307529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA09209900) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 60255303) |
Enumeration Date | 2008-05-25 |
Last Update Date | 2014-07-24 |