NPI | 1467438259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA02868600) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA02868600) |
Enumeration Date | 2005-12-22 |
Last Update Date | 2016-01-04 |