| NPI | 1821012196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA08370200) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 236148) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-09-06 |