| NPI | 1972779098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08408000) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 236993) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD434248) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2020-12-10 |