| NPI | 1316442650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA12337700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 43238) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-09-03 |