| NPI | 1568611465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA07864700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07864700) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2022-07-21 |