| NPI | 1548287386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA046707) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-04-22 |