| NPI | 1508285065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2021-03299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10263400) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA10263400) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-05-11 |