| NPI | 1912285255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA10673600) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 257811) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 87073) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036166997) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2024-03-27 |