| NPI | 1154485449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA04037700) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ MA40377) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-07-31 |