| NPI | 1134409782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 57283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA06527900) |
| 207R00000X Internal Medicine (Licence: NE 30470) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA06527900) | |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2019-05-07 |