| NPI | 1528383403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA09262900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09262900) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 267020) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2024-04-09 |