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 | 2024-10-14 |