| NPI | 1245542836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10094500) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA10094500) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: DE C1-0013449) | |
| 207R00000X Internal Medicine (Licence: MI 4301096401) | |
| 207R00000X Internal Medicine (Licence: DE C1-0013449) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2024-08-30 |