| NPI | 1255824710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA11834600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215159) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2023-08-28 |