| NPI | 1851606966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA12570700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME120175) |
| 207R00000X Internal Medicine (Licence: MI 4301096755) | |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2025-05-09 |