| NPI | 1447571096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA10086900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10086900) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 17647) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2024-04-08 |