| NPI | 1477648426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08498000) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 03257608) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-04-23 |