| NPI | 1871023192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA12093400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA12093400) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-06-19 |