| NPI | 1417121898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA09905800) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 246577) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2024-08-13 |