| NPI | 1528078383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA05637300) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ MA05637300) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-03-07 |