| NPI | 1841343969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA03916300) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C1-0002304) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-09-12 |