| 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 |