| NPI | 1629195748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA08917800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08917800) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2016-03-31 |