| NPI | 1396960043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA09230600) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 230774-1) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2013-04-29 |