| NPI | 1801327432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA12920400) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 1014222) |
| 207R00000X Internal Medicine (Licence: MD D0089048) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2026-06-24 |