| NPI | 1740271527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25IA12333500) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 79526) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301044285) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2025-09-16 |