| NPI | 1427071091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA08665200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 37393) |
| 207R00000X Internal Medicine (Licence: PA MD429518) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-05-31 |