| NPI | 1245524909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 072394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08934700) |
| 207R00000X Internal Medicine (Licence: GA 072394) | |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2020-10-23 |