| NPI | 1982856928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB08952800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT011876) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ x) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2017-01-19 |