| NPI | 1457921678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA13021100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT223516) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2026-07-06 |