| NPI | 1497852966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NJ MB07585500) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NJ 25MB07585500) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2025-08-06 |