| NPI | 1376659722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA05682000) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA5682000) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA707587) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-10-26 |