| NPI | 1235322165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25ma08152400) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: NJ 25ma08152400) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2024-04-12 |