| NPI | 1861472292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA04455900) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ MA044559) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2024-01-16 |