| NPI | 1356367957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2011-00550) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07915800) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-07-21 |