| NPI | 1083051676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA11409500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT204530) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 292576) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2023-10-25 |