| NPI | 1366785115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA09991300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 54985) |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2025-05-09 |