| NPI | 1346669462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI DO01016) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB10593400) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 65023) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2020-08-04 |