| NPI | 1568921351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA13052100) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 320180) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2026-04-08 |