| NPI | 1639539109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11481700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT210119) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2024-10-09 |