NPI | 1538468491 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA08957000) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08957000) |
207RB0002X Internal Medicine, Bariatric Medicine (Licence: NJ 25MA08957000) | |
Enumeration Date | 2011-03-17 |
Last Update Date | 2023-02-27 |