| NPI | 1225081334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA0781090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07810900) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-08-06 |