| NPI | 1598972838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A122143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08462400) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-08-28 |