| NPI | 1548455314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA08562500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME99112) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2010-03-04 |