| NPI | 1235550195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09852300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD453936) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2019-07-17 |