| NPI | 1093943631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10150500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 43419) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2017-12-07 |