| NPI | 1659323970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 13510) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 42675) |
| 207R00000X Internal Medicine (Licence: NJ 25MA04251900) | |
| 207R00000X Internal Medicine (Licence: NJ MA042519) | |
| 207R00000X Internal Medicine (Licence: NY 1497351) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-06-19 |