| NPI | 1558301176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 40436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04043600) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2013-08-16 |