| NPI | 1942597588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11176400) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 275565-1) |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2023-08-09 |