| NPI | 1437171683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 203883) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA09606000) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-04-02 |