| NPI | 1598925026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB08005800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MB080058) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2025-07-25 |