| NPI | 1437134061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06399700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA063997) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2010-04-23 |