NPI | 1558854331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11099900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215915) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2025-03-27 |