NPI | 1730227141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA02894200) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA02894200) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2007-07-08 |