| NPI | 1609891415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB08320000) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 270700) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-07-21 |