| NPI | 1386673671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D65668) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25IA12525200) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD428156) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2025-02-04 |