| NPI | 1245406677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07581300) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study (Licence: NJ 25MA07581300) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2014-04-08 |