| NPI | 1518224633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA10128200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201677) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2020-10-21 |