| NPI | 1235235524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA60196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD-031833-E) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ MA60196) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD-031833-E) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-04-25 |