| NPI | 1962941369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB11790200) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OS022785) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2023-07-13 |