| NPI | 1538367438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A98080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08182300) |
| 207R00000X Internal Medicine (Licence: CA A98080) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-06-02 |