| NPI | 1851735419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11018400) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 300356) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2022-01-18 |