| NPI | 1861874174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11848500) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 316037) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2023-08-22 |