| NPI | 1649506932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25 MA 086 37300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08637300) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2024-09-10 |