| NPI | 1457599300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA08585600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD442471) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08585600) | |
| 207R00000X Internal Medicine (Licence: NY 252931) | |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2023-02-24 |