| NPI | 1447786272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11521800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD467945) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-08-09 |