| NPI | 1659352292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA04772100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA47721) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2019-05-31 |