| NPI | 1730448440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA10852800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A138194) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2020-11-16 |