| NPI | 1477560316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA09673200) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 37864) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.098331) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2015-07-31 |