| NPI | 1639572134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11760500) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S6893) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2024-10-21 |