| NPI | 1528154903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA68756) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE MD4521) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD067373L) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2019-04-02 |