| NPI | 1720248131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10349000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 255757) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 249984) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A112954) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA10349000) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2021-07-23 |