| NPI | 1386780195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA06315900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA63159) |
| 174400000X Specialist (Licence: NJ MA63159) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2025-01-13 |