NPI | 1437541406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA10103400) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036153355) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-49075) | |
Enumeration Date | 2015-02-26 |
Last Update Date | 2024-09-23 |