| NPI | 1356366876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07782100) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A97273) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-01-09 |