| NPI | 1992939235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08604400) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD447293) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 245889-1) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2018-09-06 |