| NPI | 1578739181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 124313) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA050225) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: NY 124313) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: NJ MA050225) | |
| 208U00000X Clinical Pharmacology (Licence: NY 124313) | |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2023-04-06 |