| NPI | 1780681825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11198600) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD069935L) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35066332D) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 17863) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2023-01-13 |