| NPI | 1487215901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA OS024001) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB11542200) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-09-06 |