| NPI | 1508930298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA55617) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE MD4540) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD056201L) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-04-25 |