| NPI | 1225262355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA06926700) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: NJ 25MA06926700) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |