| NPI | 1538695598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD485329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11559200) |
| 207R00000X Internal Medicine (Licence: PA MT212816) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA11559200) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-08-07 |