| NPI | 1760942742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB12587800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL os18573) |
| 207R00000X Internal Medicine (Licence: NJ 25MB12587800) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS18573) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-08-08 |