| NPI | 1154357853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA12974400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA12974400) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD070718L) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2026-02-23 |