NPI | 1902813272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA06961100) |
Additional Taxonomies | 174400000X Specialist (Licence: NJ MA06961100) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2017-10-30 |