| NPI | 1699899914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA08660000) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: PA MD428428) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-03-17 |