| NPI | 1386105237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA12527700) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD481304) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-08-01 |