| NPI | 1285665208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 07154400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 233984) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2009-10-16 |