| NPI | 1356393458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07008900) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NJ 25MA07008900) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-05-01 |