| NPI | 1942359021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08368500) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 228538) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-08-05 |