| NPI | 1447430244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08344200) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA08344200) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2022-02-22 |