| NPI | 1952669970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA10397500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 278976-1) |
| 207R00000X Internal Medicine (Licence: NJ 25MA10397500) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 278976-1) | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2024-12-09 |