| NPI | 1265519383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA03011300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA03011300) |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NJ MA30113) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-04-24 |