| NPI | 1851738819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA10870700) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01082197A) |
| 207R00000X Internal Medicine (Licence: PA MT204151) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2023-06-29 |