| NPI | 1841288321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.139813) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA05227000) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA05227000) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2025-05-14 |