| NPI | 1639141054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA03694000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ NJ36940) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 140230) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ NJ36940) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2025-04-25 |