| NPI | 1629301817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NJ 25MA10848800) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MD D73924) |
| Enumeration Date | 2009-09-07 |
| Last Update Date | 2020-06-16 |