| NPI | 1477788404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA12593400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA12593400) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 047694) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2025-06-26 |