| NPI | 1043271984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MB71477) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: NJ MB71477) |
| 207R00000X Internal Medicine (Licence: NY 306901) | |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NJ MB71477) | |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: NJ MB71477) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ MB71477) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NJ MB71477) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NJ MB71477) | |
| 2083S0010X Preventive Medicine, Sports Medicine (Licence: NJ MB71477) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NJ MB71477) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2021-03-08 |