| NPI | 1679520431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036111720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07934700) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-08-16 |