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 |