| NPI | 1033106117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA45842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25ma04584200) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2021-03-26 |