| NPI | 1356543276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA09067500) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 235286) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2018-11-27 |