| NPI | 1588957435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA10993400) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD475442) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME132422) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2024-04-16 |