| NPI | 1538691365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 320624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 320624) |
| 207R00000X Internal Medicine (Licence: NJ 25MA11532400) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-09-13 |