| NPI | 1972765675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA09639900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01440) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2015-10-12 |